Background Studies of suicide prevention gatekeeper trainings (GKT) show temporary enhancements in short-term behavioral outcomes and limited enhancements in intermediate behavioral outcomes. Aims We aimed to examine the impact of two training enhancements (role-play and booster) on intermediate GKT outcomes. Method The study used a factorial randomized controlled design to assign participants to one of four groups. Three indicators of gatekeeper behavior at 6-month follow-up were the primary outcomes of interest. We used propensity score-based techniques to address observed imbalances. Results At 6 months, among participants assigned to role-play, a significantly larger proportion of those assigned to booster performed identifications and referrals followed by a notification to the referral source, and followed by escorting the youth to the resource. Limitations While observed imbalances were addressed, unobserved differences may persist. The validity of self-reported indicators to measure actual behavior remains unknown. Conclusion Results suggest that active learning strategies can, in combination, enhance the effectiveness of trainings. The strategies seem to increase the comprehensiveness of gatekeeper behaviors.Background Increased suicides following media coverage of celebrities' suicide deaths have been documented in several countries. Recommendations for Reporting on Suicide were published to provide guidance for media professionals when covering suicide. Research indicates guidelines have been poorly followed. Aim We aimed to determine whether the recommendations were similarly observed when studying two online news organizations' coverage of a celebrity's suicide. Method In the 3 days following a high-profile celebrity's death, two US cable networks' news websites were studied to compare how the death was reported. Online articles were reviewed using a coding rubric organized by six themes and 21 coding categories. Results Between the two organizations, 34 articles were published. Regarding the recommendations, neither source followed all of the recommendations, as measured in this study. Source A fared better in providing help-seeking information. Limitations Only two news organizations were studied for a 3-day period. Online videos, print articles, and social media were excluded. Conclusion The suicide of a celebrity received repetitive media coverage with little emphasis on prevention or help-seeking. The recommendations were not consistently followed by the two news websites included in this review.Current research on prostate cancer is heavily focused on early detection and new treatments. There is a lack of research on the overall morbidity prostate cancer survivors face and the amount of healthcare treatment they receive toward the end of their lives. Identifying these care needs will allow appropriate healthcare modeling, resource allocation and service re-design to ensure higher quality care toward the end of life. The aim of this study is to quantify and analyze the use of healthcare services by patients dying with but not necessarily of prostate cancer.
All patients who died with a diagnosis of prostate cancer during a 2-year period at a single hospital were included. Data on outpatient attendances, elective and emergency admissions and palliative care involvement in the 12 months prior to death were collected.
A total of 77 patients were included and of these, 60 (78.0%) had 545 scheduled appointments with 473 (86.8%) attendances. More non-attendances occurred in the last 6 months of life; 56 vs 16, p &lt; 0.001. Nurse led clinics doubled in the last 6 months of life, 117 vs 66. There were 173 admissions from 63 (81.8%) patients resulting in 1816 days inpatient stay. This averaged to 2.7 admissions per patient for 10.5 days per episode. 32 (41.6%) patients were seen by palliative care resulting in 192 visits in total. 78 (40.6%) were inpatient and 114 (59.4%) were community reviews.
In the last year of life, prostate cancer patients use a considerable amount of healthcare resources. Understanding this clinical and economical burden is important for healthcare remodeling to provide better quality care that is cost effective.
In the last year of life, prostate cancer patients use a considerable amount of healthcare resources. Understanding this clinical and economical burden is important for healthcare remodeling to provide better quality care that is cost effective.This study aimed to assess the association of the mechanical variables derived from the force-velocity (FV) profile (i.e. theoretical maximal force [F0], velocity [V0] and maximal power output [Pmax]) with change of direction (COD) performance in soccer, basketball and tennis players. Fifty-four male athletes (soccer n?=?23; tennis n?=?16; basketball n?=?15) were assessed for the vertical (Vrt) and horizontal (Hzt) FV profiles, COD with the dominant (D) and nondominant (ND) legs, using the modified 505 test, and sprint. Hzt FV profile parameters showed stronger associations with performance than Vrt FV profile in the three sports. Specifically, the Hzt parameter most strongly associated with COD performance was F0 in tennis (r?=?-0.83; p less then 0.001) and Pmax in soccer and basketball (r?=?-0.79; p less then 0.001). Associations between sprint times and COD test ranged from (r?=?0.73-0.82) in soccer players, (r?=?0.74-0.87) in tennis players and (r?=?0.62-0.85) in basketball players, respectively (p less then 0.05). Considering the whole sample and the random effect of the type of sports, an improvement in sprint acceleration (i.e. one N/kg increase in F0 and one W/kg in Pmax) was associated with -0.15 s and -0.04 s to complete the 505 test, respectively. In conclusion, our results suggest the potential usefulness of assessing the Hzt FV profile to maximize acceleration capabilities through training interventions which, in turn, may translate into improved COD performance. However, further longitudinal and experimental research is needed to confirm this hypothesis.Glyphosate is a commonly used non-selective herbicide in agriculture and aquafarms. https://www.selleckchem.com/products/bobcat339.html Gastrointestinal, respiratory and cardiovascular symptoms are predominant manifestations of glyphosate poisoning. Cardiac dysfunction should be kept as a possibility in patients presenting with shock, and the treatment is mainly supportive. We present such a case.